06_Experience and Past Performance Form.pdf
PDF 98 KB Posted
- Solicitation number
- 140P8621Q0019
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140P8621Q0019_Amd_0001.pdf | ||
| Sol_140P8621Q0019.pdf | ||
| 05_Sample Task Order.pdf | ||
| 07_Key Personnel Form.pdf | ||
| 01_Price Sheet.pdf | ||
| 02_Scope of Work.pdf | ||
| 03_Location Maps.pdf | ||
| 04_SCA Wage Determination.pdf |
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Text version
Offeror: _____________________________ RFQ No. 140P8621Q0019 Attachment No. 06
FORM 1
EXPERIENCE AND PAST PERFORMANCE
Use this form to demonstrate your successful past experience of relevant jobs that compare favorably to the work offered in this project. Refer to the instructions in Section L, Instructions for the Submission of Offers and Other Information, and Section M, Evaluation Factors. List jobs of similar nature/scope as performed within the last three years. Use as many copies of this Form, or an equivalent, as may be required. Attach additional documents as needed.
PART I – FINANCIAL DATA
I.1 FINANCIAL DATA AS OF ________________ (date)
CURRENT ASSETS $_________________ Name of Bank: _________________
CURRENT LIABILITIES $_________________ Point of Contact: _________________
NET WORTH $_________________ Phone Number: _________________
PART II – EXISTING COMMITMENTS
II.1 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER:
DESCRIPTION OF WORK (PROVIDE A LIST OF JOBS FOR , PROVIDING HAZARDOUS WASTE
MANAGEMENT AND DISPOSAL SERVICES AS WELL AS EMERGENCY RESPONSE SERVICES
MAJOR PROJECT TASKS, ETC):
PERFORMANCE PERIOD:
Offeror: _____________________________ RFQ No. 140P8621Q0019
II.2 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER:
DESCRIPTION OF WORK (PROVIDE A LIST OF JOBS FOR , PROVIDING HAZARDOUS WASTE
MANAGEMENT AND DISPOSAL SERVICES AS WELL AS EMERGENCY RESPONSE SERVICES
MAJOR PROJECT TASKS, ETC):
Offeror: _____________________________ RFQ No. 140P8621Q0019
PART III – PAST PERFORMANCE & RELEVANT EXPERIENCE
III.1 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER:
DESCRIPTION OF WORK (PROVIDE A LIST OF JOBS FOR , PROVIDING HAZARDOUS WASTE
MANAGEMENT AND DISPOSAL SERVICES AS WELL AS EMERGENCY RESPONSE SERVICES
MAJOR PROJECT TASKS, ETC):
III.2 CONTRACT NUMBER: AMOUNT:
CONTACT PERSON: PHONE NUMBER:
DESCRIPTION OF WORK (PROVIDE A LIST OF JOBS FOR , PROVIDING HAZARDOUS WASTE
MANAGEMENT AND DISPOSAL SERVICES AS WELL AS EMERGENCY RESPONSE SERVICES
MAJOR PROJECT TASKS, ETC):
Offeror: _____________________________ RFQ No. 140P8621Q0019
III.3 CONTRACT NUMBER: AMOUNT:
CONTACT PERSON: PHONE NUMBER:
DESCRIPTION OF WORK (PROVIDE A LIST OF JOBS FOR , PROVIDING HAZARDOUS WASTE
MANAGEMENT AND DISPOSAL SERVICES AS WELL AS EMERGENCY RESPONSE SERVICES
MAJOR PROJECT TASKS, ETC):
III.4 LARGEST CONTRACT IN THE PAST THREE YEARS
CONTRACT NUMBER __________________________
CONTRACT AMOUNT __________________________
CONTRACT DATE __________________________
AGENCY/OWNER: __________________________
DESCRIPTION OF WORK:
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